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Virtual Office Hours

North Carolina has suspended the transition of Medicaid to managed care. Medicaid beneficiaries will get health services as they do now from the state. Beneficiaries do not need to choose a health plan. Behavioral health services will continue to be provided by Local Management Entities – Managed Care Organizations. All health providers enrolled in Medicaid are still part of the program and will continue to bill the state through NCTracks. Timelines noted within Medicaid Transformation policy papers, fact sheets and other communications will not apply.

The Medicaid website contains policy papers, fact sheets and other transition documents with information effective on the date published. They do not reflect the suspension of Medicaid Managed Care. Please call the Medicaid Contact Center at 888-245-0179 if you have questions.

Read more, https://www.ncdhhs.gov/news/press-releases/legislators-adjourn-without-taking-actions-required-medicaid-managed-care-dhhs.

The Provider Services team is conducting a series of Virtual Office Hours sessions with providers across the state. These offer an interactive format for providers to have their questions answered. Providers are encouraged to submit questions in advance to Medicaid.virtualofficehours@dhhs.nc.gov for discussion during Virtual Office Hours.

     

    Archived Virtual Office Hours

    2019

    2019

    Provider Reviews, Audits and Investigations in NC Medicaid Managed Care - Nov. 12, 2019

    Long-Term Services and Supports Overview - Oct. 15, 2019

    Dental Coverage under Medicaid Transformation/Managed Care - Sept. 24,  2019

    Provider Clinical Optical Services - Vision Care - Aug. 27, 2019

    Provider Operations: Overall Status of PHP Implementation, Readiness Review - July 16, 2019

    Provider contracting, network adequacy, appeals and grievances (provider and member) - June 11, 2019

    Provider Enrollment & Credentialing - April 26, 2019